社区慢性病管理对糖尿病前期患者糖代谢的影响

Effect of community chronic disease management on glucose metabolism in prediabetes patients

目的:探讨社区慢性病管理对糖尿病前期患者糖代谢的影响。方法:选择2015年1月至2016年12月上海彭浦新村街道社区糖尿病前期患者200例,随机将患者平均分成对照组100例,其中男性52例,女性48例,年龄平均为(53.5±6.1)岁,接受常规管理;观察组100例,其中男性59例,女性41例,年龄平均为(53.2±6.3)岁,接受社区慢性病管理。比较两组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇水平。结果:观察组干预后空腹血糖、餐后2 h血糖、糖化血红蛋白、总胆固醇的平均水平均低于对照组,差异有统计学意义(P<0.05)。结论:社区慢性病管理能够改善糖尿病前期患者糖代谢水平。

Objective:To investigate the effect of chronic disease management on glucose metabolism in patients with prediabetes.Methods:From January 2015 to December 2016 200 cases of prediabetes in the community were selected and randomly divided into a control group of 100 patients,including 52 males and 48 females,with an average age of(53.5±6.1)years;they received conventional management.The observation group consisted of 100 patients,including 59 males and 41 females,with an average age of(53.2±6.3)years;they received chronic disease management in the community.Fasting blood glucose,postprandial 2h blood glucose,glycosylated hemoglobin and total cholesterol were compared between the two groups.Results:The fasting blood glucose,postprandial 2h blood glucose,glycosylated hemoglobin and total cholesterol in the observation group were lower than those in the control group after intervention and the difference was statistically significant(P<0.05).Conclusion:Community chronic disease management can improve the level of glucose metabolism in the prediabetic patients.